. Operative gynecology. nal Canal. The skin and fat turned back, exposing the aponeurosis of the oblique muscle. Showing alsoits triangular division over the inguinal canal, the opening below for the exit of the round ligament (externalring), the relations to Pouparts ligament, and the intereolumnar tibers binding together the inner and outerpillars. Owing to the location of this naturally weak point, under ordinary conditionsthe abdominal viscera are not brought to bear directly upon it during the actionof the intra-abdominal pressure. In addition to this, the free border of theomen
. Operative gynecology. nal Canal. The skin and fat turned back, exposing the aponeurosis of the oblique muscle. Showing alsoits triangular division over the inguinal canal, the opening below for the exit of the round ligament (externalring), the relations to Pouparts ligament, and the intereolumnar tibers binding together the inner and outerpillars. Owing to the location of this naturally weak point, under ordinary conditionsthe abdominal viscera are not brought to bear directly upon it during the actionof the intra-abdominal pressure. In addition to this, the free border of theomentum and the small intestines occupy the lower part of the abdomen, leav-ing the flat upper part of the omentum with the colon and the stomach in appo-sition to the umbilicus: these structures from their very form are less liableto enter the opening. When, however, by the increase of fat in the abdomen the mutual relationsof the viscera are disturbed and the relations between the abdominal walls and UMBILICAL HERNIA. 477. Fig. 546.—Anatomy or the Inciuinal Canal inpoj Deeper Layers. the intercolumnar libers and thehack, showing the internal rinir above an-l tdilated by the neck of a hernial sae, shown noblique and transversalis rniiseles, which curdon formint; tlie lower wall of the canal. Tl genito-crural and ilio-inguinal nerves lie to the outside of this again. sis of the external oblique muscle divided and turned? of the inguinal canal, which is somewhat,lt. tlir ii|.|HV border of the canal is formed by the internalaround the inni^r side of the sac to make the conjoined ten-round ligament is seen tlie outer sac wall, and the 478 THE RADICAL CURE OF HERNIA.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
